| NPI | 1487006417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016020303) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2023-12-05 |