| NPI | 1043867617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143430) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 839143) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2023-03-30 |