| NPI | 1689896706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 659976) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9217922) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-01-15 |