| NPI | 1639441041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9287893) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2016-04-18 |