| NPI | 1508815853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 458529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 459528) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2009-01-26 |