| NPI | 1114388113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-121823) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2024-05-02 |