| NPI | 1447664560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135836) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004103) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-01-19 |