| NPI | 1720364334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP120945) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A03616) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2023-06-30 |