| NPI | 1932714722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 910590) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018712) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2022-10-24 |