| NPI | 1568897361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 771534) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2022-03-15 |