| NPI | 1811535149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F11190885) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-05-25 |