| NPI | 1982257135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142352) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F07190170) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2021-05-25 |