| NPI | 1093208241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1118046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10000) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-09-13 |