| NPI | 1922496157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133626) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R182801) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 921575) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2020-05-07 |