| NPI | 1477733038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 251275) |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2023-11-03 |