| NPI | 1932455128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 759664) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2023-07-26 |