| NPI | 1679771331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 688949) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2020-07-21 |