| NPI | 1578567517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 239515) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 239515) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX 239515) | |
| 208D00000X General Practice (Licence: TX 239515) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2014-11-13 |