| NPI | 1548820202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1002028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT F06191047) |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2020-07-30 |