| NPI | 1285884882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05609) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 110715) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2017-02-23 |