| NPI | 1932143351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 246429) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-10-12 |