| NPI | 1508409350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 872867) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2023-08-03 |