| NPI | 1255884920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1043835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R189727) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2021-06-22 |