| NPI | 1093092926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 733590) |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2020-05-13 |