| NPI | 1114906724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP 125097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 847737) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2016-01-05 |