| NPI | 1811194012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP107243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 509270) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-02-28 |