| NPI | 1922349174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123259) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 743241) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2022-05-21 |