| NPI | 1851873111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F08181170) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-04-24 |