| NPI | 1992197008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 831082) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP141683) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2023-03-10 |