| NPI | 1598153868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129748) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9300524) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2022-05-12 |