| NPI | 1619324100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130937) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX AP130937) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP130937) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2022-08-15 |