| NPI | 1982470589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019540) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-01-14 |