| NPI | 1912140245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 589653) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-11-09 |