| NPI | 1699211391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 915229) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2019-09-23 |