| NPI | 1770992034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 1649) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R-173821-6) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-07-24 |