| NPI | 1316554264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1017997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009343) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-03-28 |