| NPI | 1992367932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F06190746) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142043) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2021-12-09 |