| NPI | 1881827822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 604926) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F0709106) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2013-06-26 |