| NPI | 1437616968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1099063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343719) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-06-30 |