| NPI | 1144513532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP18995) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 527807) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2024-10-10 |