| NPI | 1457336265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113975) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP113975) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 674802) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-09-08 |