| NPI | 1629647706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1048157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 216295) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2022-08-16 |