| NPI | 1144521469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP109004) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 626395) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2019-12-16 |