| NPI | 1053917773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1095858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 211912) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2024-03-11 |