| NPI | 1255898466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP140768) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX ap140768) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2023-11-01 |