| NPI | 1902317167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 891507) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-01-10 |