| NPI | 1649639493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1013971) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1013971) |
| 363L00000X Nurse Practitioner (Licence: NC 5011357) | |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2021-03-18 |