| NPI | 1881711141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 551440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 11971) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2019-09-11 |