| NPI | 1679894695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 700868) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2015-02-16 |