| NPI | 1245552611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 710337) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2015-01-23 |