| NPI | 1811509326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 34036) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-06-28 |