| NPI | 1932415957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19748) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2018-03-17 |