| NPI | 1285282079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX API142504) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-02-23 |