| NPI | 1558320697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP107316) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 445849) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2020-09-01 |