| NPI | 1821342411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP122250) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 674982) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2021-04-28 |