| NPI | 1518233196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP121273) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 641861) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2021-05-04 |