| NPI | 1427087535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112476) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 254127) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2021-04-27 |