| NPI | 1902213341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128163) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 158337) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-06-21 |