| NPI | 1093296477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1067246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 2017036544) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-01-10 |