| NPI | 1235570888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123991) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 530602) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2015-03-27 |