| NPI | 1740526011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP122862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 827518) |
| 363LF0000X Nurse Practitioner Family (Licence: LA AP07013) | |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2022-09-14 |