| NPI | 1366088387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F08191108) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-12-13 |