| NPI | 1902221815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125241) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 723233) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2020-11-03 |