| NPI | 1912337205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 2158) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2023-10-25 |