| NPI | 1093347486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F12190813) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2023-11-22 |