| NPI | 1487703393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP116296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 597441) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP116296) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-08-11 |