| NPI | 1487811097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 110709) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 517664) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-10-25 |