| NPI | 1093133233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 684328) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-10-09 |