| NPI | 1144429424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 544176) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 544176) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 544176) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2012-10-31 |