| NPI | 1316139272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9203828) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2014-12-15 |