| NPI | 1184996977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 607993) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2024-06-19 |