| NPI | 1295385326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 868825) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-11-02 |