| NPI | 1811345341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131913) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29721) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2021-07-09 |