| NPI | 1992959217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP108730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 114196) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-09-22 |