| NPI | 1740656651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136103) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN284170) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2022-03-26 |