| NPI | 1104254028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125198) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R39610) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2023-06-22 |