| NPI | 1427256734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16493) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2020-01-22 |