| NPI | 1538106588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP11447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 716720) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-02-02 |