| NPI | 1013321819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F06141102) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-03-01 |