| NPI | 1972080943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 815825) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-09-27 |