| NPI | 1013209964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 721247) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2017-05-11 |