| NPI | 1699015040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123266) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 771286) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX Ap123266) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2018-03-17 |