| NPI | 1689925521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP122340) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 600588) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2024-05-31 |