| NPI | 1780649632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP110323) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 525228) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-08-28 |