| NPI | 1093715443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 606373) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2018-09-11 |