| NPI | 1164744322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 609832) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2017-08-30 |