| NPI | 1538778543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 780303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1016141) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2023-02-15 |