| NPI | 1801181888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP120420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F0611206) |
| 363L00000X Nurse Practitioner (Licence: TX 712187) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2016-12-13 |