| NPI | 1447564976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-979) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2020-02-26 |