| NPI | 1669661146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 689103) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2022-06-08 |