| NPI | 1386294304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143160) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 837096) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-10-08 |