| NPI | 1609038546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP116917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 661744) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-07-30 |