| NPI | 1417201997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 754292) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2022-06-27 |