| NPI | 1639410285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 756078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337942) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2024-04-10 |