| NPI | 1639472822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011195) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 744059) | |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2016-05-23 |