| NPI | 1235578592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP110395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 577973) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2015-03-19 |