| NPI | 1215461629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 57160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133605) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-12-08 |