| NPI | 1558419226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125932) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 679125) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-07-15 |