| NPI | 1912974999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 625694) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2021-06-08 |