| NPI | 1952314213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114967) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 700867) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-09-26 |