| NPI | 1003179813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 764212) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-10-05 |