| NPI | 1205959004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN084073 AP05159) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2023-03-01 |