| NPI | 1851429229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113202) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 68260-3151) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-07-07 |