| NPI | 1962858233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130791) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216412) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-08-23 |