| NPI | 1093067795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 827571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 150163) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2017-11-21 |