| NPI | 1063855476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07292) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 777563) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-10-20 |