| NPI | 1548477367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP108722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 650475) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-07-21 |