| NPI | 1316290448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122711) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NM CNP-02072) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2021-05-05 |