| NPI | 1851462717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6696) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-09-06 |