| NPI | 1902324775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX AP133962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133962) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |