| NPI | 1942844121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1032426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341913-1) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2021-11-04 |