| NPI | 1831601491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 837924) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-12-17 |