| NPI | 1457602732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126981) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004159A) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP126981) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2020-07-17 |