| NPI | 1992009930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP13866) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 670483) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2020-04-27 |