| NPI | 1679808695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126216) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 858302) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2024-07-17 |