| NPI | 1982834180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 654831) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 654831) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP118144) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2019-12-20 |