| NPI | 1992335871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1015715) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 851101) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2021-03-14 |