| NPI | 1598098196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 723945) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2023-02-01 |