| NPI | 1710370705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 501605) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2019-06-13 |