| NPI | 1336392281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 124028) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-06-03 |