| NPI | 1205093606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 792533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 12899) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-10-04 |