| NPI | 1194335729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1088782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27937) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2022-09-12 |