| NPI | 1457536898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP116030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 654122) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2016-06-02 |