| NPI | 1811395320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127098) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX ap127098) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2018-10-08 |