| NPI | 1013334408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 758133) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-11-16 |