| NPI | 1164990867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139579) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP139579) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2021-11-05 |