| NPI | 1013122399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 626005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112531) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2019-04-30 |