| NPI | 1639148190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP104951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 252859) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-02-10 |