| NPI | 1679714802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 776775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118540) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 118540) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2018-06-01 |