| NPI | 1891891602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP103188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 256812) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2017-01-02 |