| NPI | 1518212802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122038) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 772038) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2016-04-12 |