| NPI | 1922133966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP114740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 636696) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-12-01 |