| NPI | 1316375918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 720987) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2023-11-01 |