| NPI | 1386067593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP124867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 756264) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP124867) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2019-08-16 |