| NPI | 1043591779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 743604) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2024-07-12 |