| NPI | 1902383201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 965101) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-08-05 |