| NPI | 1780018861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 802248) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2017-05-10 |