| NPI | 1952784910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140651) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004878) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP08409) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-02-18 |