| NPI | 1205466109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1114135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R199963) |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2023-08-03 |