| NPI | 1720267826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 145296) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2018-07-24 |