| NPI | 1053821207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 766102) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-07-21 |