| NPI | 1679107916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1047139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R172389) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2024-02-09 |