| NPI | 1306015433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 578384) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP116100) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2024-01-23 |