| NPI | 1962802967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 781084) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2017-05-10 |