| NPI | 1275932287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07946) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-04-17 |