| NPI | 1225501885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1012843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000240) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11000240) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-09-28 |