| NPI | 1679806285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 652322) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2021-12-10 |