| NPI | 1700340312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 686083) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-29 |