| NPI | 1497318729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F09181118) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2022-10-17 |