| NPI | 1265733422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 724112) |
| 363L00000X Nurse Practitioner (Licence: TX AP119561) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2023-11-27 |