| NPI | 1104087295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP116816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 618556) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-02-17 |