| NPI | 1619637162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP144974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F11190299) |
| Enumeration Date | 2021-12-25 |
| Last Update Date | 2023-04-20 |