| NPI | 1538667423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141709) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9427236) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-12-12 |