| NPI | 1689862682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 654527) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2021-11-03 |