| NPI | 1760791370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 649537) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP118506) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2022-09-07 |