| NPI | 1275188757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1076029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 206921) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-03-22 |