| NPI | 1235413154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1105528) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011032978) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2024-11-22 |