| NPI | 1275786576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 693242) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2024-03-12 |