| NPI | 1427178276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1110093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9252409) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-09-25 |