| NPI | 1639103112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 548592) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 548592) |
| 363L00000X Nurse Practitioner (Licence: TX AP111174) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-04-12 |