| NPI | 1952950099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 870254) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2024-01-29 |