| NPI | 1154545291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 653467) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-11-02 |