| NPI | 1447666748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127753 /RN 863311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 673202) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2016-01-25 |