| NPI | 1053377531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111923) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 620800) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 620800) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-08-06 |