| NPI | 1932680055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138380) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX AP138380) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2022-11-29 |