| NPI | 1679108187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1007547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000027116) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2023-07-23 |