| NPI | 1396098349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 721385) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2021-09-12 |