| NPI | 1225282858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 813218) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0080956) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2012-06-06 |