| NPI | 1497369052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1123046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 213652) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-09-26 |