| NPI | 1578753224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115023) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 686554) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-04-10 |