| NPI | 1972995199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1156307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339435) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2024-05-10 |