| NPI | 1669993473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap134277) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP134277) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2020-01-28 |