| NPI | 1235779828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 29690) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2024-09-17 |