| NPI | 1255411559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 721372) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 721372) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-04-20 |