| NPI | 1710944996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP109426) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 602127) |
| Enumeration Date | 2006-04-30 |
| Last Update Date | 2015-02-02 |