| NPI | 1225214505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP109133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 582397) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-11-11 |