| NPI | 1376843052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114985) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 697889) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 697889) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2022-05-26 |