| NPI | 1841774338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 840771) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-11-04 |