| NPI | 1700370129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 838669) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2019-12-12 |