| NPI | 1427288646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 719712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP117951) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2024-10-28 |