| NPI | 1821327743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117979) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 618668) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2020-07-20 |