| NPI | 1396246914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136981) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000977-C-NP) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2021-11-29 |