| NPI | 1770891343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 15930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169022) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2014-07-08 |