| NPI | 1205158094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP114148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 679428) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2017-06-30 |