| NPI | 1134161862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP114007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 679390) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-03-30 |