| NPI | 1649662594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09930) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2019-06-03 |