| NPI | 1891983003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1059581) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R145846) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2022-08-30 |