| NPI | 1013928043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 588420) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-08-16 |