| NPI | 1790220135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132725) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX API132725) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-11-04 |