| NPI | 1477745149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133487) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 190636) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2019-11-14 |