| NPI | 1124364724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122937) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A003769) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2016-06-02 |