| NPI | 1407416431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141861) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 753763) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-02-08 |