| NPI | 1982993077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 741974) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 741974) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 741974) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2014-12-23 |