| NPI | 1497894661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP116174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 614429) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2015-12-11 |