| NPI | 1710301445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135978) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338359) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2019-10-25 |