| NPI | 1326400318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 714103) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2017-08-15 |