| NPI | 1306818679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP113211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 612717) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2015-06-24 |