| NPI | 1982954541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122114) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 716502) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2018-10-04 |