| NPI | 1245879147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F08190322) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2024-03-11 |