| NPI | 1013008432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 120256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 799998) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 0257932303) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-12-09 |