| NPI | 1679724744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 675822) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2015-11-06 |