| NPI | 1699307348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1074357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 211811) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2022-12-12 |