| NPI | 1346767373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138823) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 79927) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2020-01-08 |