| NPI | 1437107315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 130216) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-04-01 |