| NPI | 1649772377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137613) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9342824) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2022-05-09 |