| NPI | 1053744987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 651266) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2020-07-14 |