| NPI | 1962947283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 818467) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2022-09-13 |