| NPI | 1679963086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201408700NP-PP) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2022-03-24 |