| NPI | 1972935955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124413) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 760294) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 760294) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2020-09-23 |