| NPI | 1851865810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX API39368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139368) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2023-06-30 |