| NPI | 1235567082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 679740) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2018-01-08 |