| NPI | 1326352055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1034646) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 687640) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2022-07-04 |