| NPI | 1992389985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1037451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 762767) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-18 |