| NPI | 1144519851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010042446) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2018-03-13 |