| NPI | 1700061892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111854) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 647383) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2023-02-24 |