| NPI | 1982913430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F0910136) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119546) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2023-05-15 |