| NPI | 1588942635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA F0611421) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128831) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2024-03-28 |