| NPI | 1265474423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP109255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 540798) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-11-13 |