| NPI | 1063787026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 672302) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2019-01-14 |