| NPI | 1386943207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 119823) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119823) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2023-02-23 |