| NPI | 1578526190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 642452) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-09-15 |