| NPI | 1225121635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP109994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 607606) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2022-09-13 |