| NPI | 1538509146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123736) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 765574) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2016-11-08 |