| NPI | 1104169580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 754188) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2018-10-03 |