| NPI | 1114460532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 786709) |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2019-10-03 |