| NPI | 1588076087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1089257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9298367) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2024-04-25 |