| NPI | 1902214422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 834871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07084) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2020-11-03 |