| NPI | 1811299985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 2048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03452) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2013-01-16 |