| NPI | 1770766537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 892420) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2023-04-24 |