| NPI | 1790228450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP132327) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP132327) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2022-09-10 |