| NPI | 1639196207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP104192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 232857) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-02-17 |