| NPI | 1912233578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 719316) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2020-06-02 |