| NPI | 1528579786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 840142) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2022-08-22 |