| NPI | 1952615023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15795) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 181220) | |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2024-04-02 |