| NPI | 1659856680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP13862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138672) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-03-10 |