| NPI | 1235135567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP106105) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist Community Health/Public Health (Licence: TX AP106105) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2016-01-22 |