| NPI | 1861819138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124780) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 721045) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2021-12-21 |