| NPI | 1700225638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 0073552) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-11-08 |