| NPI | 1245721141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F342723-1) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2022-09-20 |