| NPI | 1578582987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146181) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 10491) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-10-05 |