| NPI | 1467434233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113678) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK 160666) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 643131) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-01-23 |