| NPI | 1699384792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1014962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 832388) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-09-27 |