| NPI | 1164729984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP12002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 721431) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2019-04-01 |