| NPI | 1215351085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 657284) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2020-01-20 |