| NPI | 1174088652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006772) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2022-06-30 |