| NPI | 1952866626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A006088) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-05-05 |