| NPI | 1497094445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 702284) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2022-07-28 |