| NPI | 1750052858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1055328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 76631) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-08-07 |