| NPI | 1386019800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1167683) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172701) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2024-09-09 |