| NPI | 1710472832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 782417) |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2021-01-28 |