| NPI | 1558790303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1128155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013364) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2024-05-02 |