| NPI | 1952786238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141640) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 865967) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2019-05-15 |