| NPI | 1144772138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F1016522) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-08-21 |