| NPI | 1770967457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F0715120) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-05-11 |