| NPI | 1275957516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 631321) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2023-04-21 |