| NPI | 1962657676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117412) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 245572) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 245572) | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2018-06-29 |