| NPI | 1508118282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 724993) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2021-01-25 |