| NPI | 1992340491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP142200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP142200) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-06-24 |