| NPI | 1396201620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP140578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP140578) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2024-09-11 |