| NPI | 1528313459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 380929-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 380929-8900) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 380929-4405) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2014-03-04 |