| NPI | 1669603262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117789) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 619210) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2019-10-22 |