| NPI | 1386937514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 729677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 729677) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2013-09-17 |