| NPI | 1245501170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 810393) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75577-092) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2024-05-09 |