| NPI | 1831545219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 760286) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-03-07 |