| NPI | 1225308133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117582) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 638655) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2022-12-05 |