| NPI | 1760444772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP109762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 544430) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 544430) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2022-01-25 |