| NPI | 1871093161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136658) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F02180043) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2023-09-13 |