| NPI | 1669653762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1137946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200750095NP) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2024-10-29 |