| NPI | 1255609111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 061004-23) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2020-09-04 |