| NPI | 1902171069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121626) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23143) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2016-07-07 |