| NPI | 1699152132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008296) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2021-10-22 |