| NPI | 1578653796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 582474) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-02-23 |