| NPI | 1760952873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1121925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24897) |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2023-07-15 |