| NPI | 1457456204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 112223) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-09-23 |