| NPI | 1548605975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129901) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 237528) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2017-02-21 |