| NPI | 1659735678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 717738) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP130685) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-08-24 |