| NPI | 1699246280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP139945) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 856215) |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2024-09-05 |