| NPI | 1598020521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 675959) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-03-24 |