| NPI | 1245540137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 628756) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2022-04-25 |