| NPI | 1407333792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201805817NP-PP) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-09-16 |