| NPI | 1932766128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202204668NP-PP) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2022-11-29 |