| NPI | 1649512591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 757248) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-07-26 |