| NPI | 1366876443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 732587) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2020-01-04 |