| NPI | 1447809579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 134377) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2023-12-29 |