| NPI | 1851715718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 705298) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2022-03-23 |