| NPI | 1992253058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1050814) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP 4688) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP4688) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2024-05-02 |