| NPI | 1912216755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 722203) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2015-01-29 |