| NPI | 1396036273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 728330) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX Ap120447) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2024-05-20 |