| NPI | 1982349874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1088833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 785720) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-08-18 |