| NPI | 1891184875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127219) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0004169) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2024-07-09 |