| NPI | 1003219700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1035054) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 681079) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2021-10-08 |