| NPI | 1972810976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 697750) |
| Enumeration Date | 2010-09-12 |
| Last Update Date | 2024-12-02 |