| NPI | 1386604163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP102139) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX AP102139) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2017-10-06 |