| NPI | 1821044751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114988) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 551810) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-05-09 |