| NPI | 1215497631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140108) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 140108) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-07-23 |