| NPI | 1891274296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10169) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2024-10-30 |