| NPI | 1821509308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 72184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134996) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2023-02-28 |