| NPI | 1225446446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 942690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP013992) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2018-09-10 |