| NPI | 1609353978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138173) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 850735) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-11-03 |