| NPI | 1093117848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 626608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126492) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-03-25 |