| NPI | 1235776055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143811) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP143811) |
| 363L00000X Nurse Practitioner (Licence: TX F10190293) | |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2022-05-06 |