| NPI | 1114171501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 504167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117181) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2024-09-17 |