| NPI | 1639621378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 056778-23) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2022-03-03 |