| NPI | 1992349294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143410) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10016433) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-12-13 |