| NPI | 1598080160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2000149865) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-08-23 |