| NPI | 1043722648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134829) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX F07171410) |
| Enumeration Date | 2017-11-04 |
| Last Update Date | 2022-03-08 |