| NPI | 1689141517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F07180275) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-08-13 |