| NPI | 1194141283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 763693) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2024-10-08 |