| NPI | 1295002145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169690) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2015-11-23 |