| NPI | 1306409115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP141422) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F04190052) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-12-14 |