| NPI | 1568785566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 717771) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP118872) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2018-04-10 |