| NPI | 1407394968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133164) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP133164) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 344309) | |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2022-05-05 |