| NPI | 1205088754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP107811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 636355) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2016-11-22 |