| NPI | 1942591250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 717063) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2020-10-09 |