| NPI | 1700354511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9495459) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2023-03-26 |