| NPI | 1881842037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 690681) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2021-12-01 |