| NPI | 1285633305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP106858) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 237267) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2018-07-30 |