| NPI | 1528411485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08924) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-08-25 |