| NPI | 1932491222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 596493) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2019-10-22 |