| NPI | 1114333028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133526) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07824) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2017-06-11 |