| NPI | 1619519238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F09190552) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2021-11-23 |