| NPI | 1922437599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013355) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9385126) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2016-12-16 |