| NPI | 1669658837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136498) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 102599) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP05342) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2024-09-09 |