| NPI | 1497120265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 100282) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2022-08-29 |