| NPI | 1164072278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903571) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-05-09 |