| NPI | 1013249887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP119372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 789120) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-45901-061) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2021-12-02 |