| NPI | 1326303405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121945) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 762821) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2024-09-19 |