| NPI | 1760728232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9316416) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2024-02-27 |