| NPI | 1508297086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 729722) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2022-11-01 |