| NPI | 1639502347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F0713905) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2017-05-10 |