| NPI | 1376020719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137429) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342688) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2019-11-06 |