| NPI | 1215075825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 624976) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT02706) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 624976) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2013-01-02 |