| NPI | 1326009739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP110098) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 668149) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-10-03 |