| NPI | 1154056026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136448) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F12170214) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-07-23 |