| NPI | 1457785669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171105) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2020-08-20 |