| NPI | 1336699222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901645) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2018-03-17 |