| NPI | 1679991871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 741201) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-10-27 |