| NPI | 1184096745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1153881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004493) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2024-04-25 |