| NPI | 1376540427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP106564) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 580338) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2017-03-09 |