| NPI | 1083159388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9476749) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2024-01-08 |