| NPI | 1912552787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 812724) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2023-05-11 |