| NPI | 1578681938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 655270) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-07-15 |