| NPI | 1659672194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP119125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 697870) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2016-03-08 |