| NPI | 1184697047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 637966) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2016-07-19 |