| NPI | 1538547229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX RN 708638) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-12-18 |