| NPI | 1316013162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11021208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112126) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 584672) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-12-29 |