| NPI | 1922059658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 665327) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-03-09 |