| NPI | 1225000250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN00511) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-09-09 |