| NPI | 1134149438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP105425) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 543177) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-09-22 |