| NPI | 1316413255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1139202) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 664299) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |