| NPI | 1699277756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134965) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX AP134965) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2023-12-04 |