| NPI | 1750896379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017041656) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2020-04-16 |