| NPI | 1013406065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 821777) |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2019-09-30 |