| NPI | 1770712325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP104783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 606439) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2022-07-27 |