| NPI | 1619232311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126126) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP126126) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3007543) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-10-06 |