| NPI | 1225225808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 246541) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TX 246541) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2015-04-08 |