| NPI | 1528498433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 709408) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 709408) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2023-08-29 |