| NPI | 1225234289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP115869) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 236280) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-06-30 |