| NPI | 1285608372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP109609) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 556952) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 556952) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-09-23 |