| NPI | 1194016816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03539) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 2120) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-03-16 |