| NPI | 1841507951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 736995) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 736995) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2013-08-09 |