| NPI | 1932752524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 60016) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-02-02 |