| NPI | 1518487172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 878250) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-07-20 |