| NPI | 1811324817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F1013097) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2024-01-08 |