| NPI | 1245470095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP110119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 559134) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2018-12-06 |