| NPI | 1184288243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 872616) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2021-06-07 |