| NPI | 1497179758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125131 / RN 631182) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TX 631182) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2019-10-14 |