| NPI | 1407191554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122544) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 670846) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2014-12-18 |