| NPI | 1083662787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP114189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 693984) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-04-20 |