| NPI | 1336493790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 775802) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2021-08-02 |