| NPI | 1699011825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9330532) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 10648) | |
| Enumeration Date | 2012-12-16 |
| Last Update Date | 2023-08-21 |