| NPI | 1164699419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP116862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 654986) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2021-11-05 |