| NPI | 1730571357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 771100) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2023-09-01 |