| NPI | 1518213321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP121773) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 815727) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP121773) | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2023-10-12 |