| NPI | 1275040776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142472) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9466740) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2021-03-19 |