| NPI | 1982910709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1060440) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 674159) |
| 207Q00000X Family Medicine (Licence: TX AP1060440) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2023-02-07 |