| NPI | 1871036202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03187) |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2023-06-28 |