| NPI | 1609308212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP133672) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 813237) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2023-07-11 |