| NPI | 1861584062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP110206) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 024164917) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-10-29 |