| NPI | 1316598766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1032242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 827771) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2021-08-30 |