| NPI | 1528490927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 718205) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2021-12-18 |