| NPI | 1154789097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340963) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2022-06-28 |