| NPI | 1841630969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP123636) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: TX 590181) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2022-12-06 |