| NPI | 1689066797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 228577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 298073) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |