| NPI | 1033496138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP102959) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 693141) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 693141) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2024-04-24 |