| NPI | 1023445962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 547453) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2021-12-22 |