| NPI | 1699054783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 661013) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 661013) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2019-05-15 |