| NPI | 1457912446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX API136002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136002) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2022-04-29 |