| NPI | 1124651286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F02200709) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2022-12-15 |