| NPI | 1609069392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 13279535) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 13279535) |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2023-08-04 |