| NPI | 1437704715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1058045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 914897) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2022-02-01 |