| NPI | 1346639192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142113) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX T219923) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-RN-LIC-47201) | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-08-02 |