| NPI | 1144650235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128869) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5006647) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2017-02-27 |