| NPI | 1952877409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 106100) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-10-11 |