| NPI | 1831413541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9250264) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2024-01-29 |