| NPI | 1831615335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139153) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024175261) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-04-05 |