| NPI | 1598295917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10161) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-05-23 |