| NPI | 1043513039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP119527) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 658130) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2021-07-27 |