| NPI | 1386213361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1044759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026622) |
| 363L00000X Nurse Practitioner (Licence: TX 1044759) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-10-26 |