| NPI | 1457338196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP102512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 513553) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2019-01-04 |