| NPI | 1013174291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121894) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 665019) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-01-09 |