| NPI | 1427703792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1060755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F11210820) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-08-02 |