| NPI | 1134415417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03679) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 800130) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2024-04-09 |