| NPI | 1083894919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R856908) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2014-08-28 |