| NPI | 1760060388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1034067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 907617) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-06 |