| NPI | 1063885515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004521) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2021-10-08 |