| NPI | 1730437260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122254) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 694160TX) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-12-06 |