| NPI | 1033558317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 688301) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-04-06 |