| NPI | 1013245778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP107033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 257849) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2023-06-09 |