| NPI | 1992038434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 675026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 675026) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95025177) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2024-01-11 |