| NPI | 1396926945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 658247) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2019-12-14 |