| NPI | 1992036719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 721810) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2023-09-12 |