| NPI | 1437650892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23857) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2021-02-04 |