| NPI | 1841560778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 121310) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 807047) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2019-12-18 |