| NPI | 1265941868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134687) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017982) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-07-20 |