| NPI | 1053439232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP107100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 500773) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-09-21 |