| NPI | 1578847703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 616930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 52646) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2023-08-11 |