| NPI | 1033432372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138279) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06056) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2019-04-11 |