| NPI | 1285001891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9485019) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128798) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2019-10-29 |