| NPI | 1326449224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004037) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2021-04-14 |