| NPI | 1225417561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 874505) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-03-09 |