| NPI | 1487780540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 668519) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2018-12-06 |