| NPI | 1881919934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 816504) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111124) |
| 363L00000X Nurse Practitioner (Licence: TX 1698) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2014-03-23 |