| NPI | 1578841490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111275) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2020-10-08 |