| NPI | 1609418045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143593) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP143593) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-09-04 |