| NPI | 1225641558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1010966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27724) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-10-26 |