| NPI | 1467043208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1028915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 802486) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2022-06-10 |