| NPI | 1700967437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201150038NP) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-11-18 |