| NPI | 1982132825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP133697) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP133697) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-03-07 |