| NPI | 1093056210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 763649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123390) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2022-11-02 |