| NPI | 1982388765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1125747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189836) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2024-08-19 |