| NPI | 1194021253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 699673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120133) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2015-02-23 |