| NPI | 1659991602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 849543) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX ap142766) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-03-09 |