| NPI | 1871924738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP124670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 749751) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2021-04-21 |