| NPI | 1477622900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 567495) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-06-03 |