| NPI | 1760719397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R173840) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2019-05-08 |