| NPI | 1477785038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 685448) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 182147) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2018-05-14 |