| NPI | 1235504135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 778888) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2020-02-11 |