| 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 |