| NPI | 1316473671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 899441) |
| 163W00000X Registered Nurse (Licence: NJ 26NR16210800) | |
| 207Q00000X Family Medicine (Licence: TX AP133736) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-11-08 |