| NPI | 1316296809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP120592) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 687943) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2021-04-12 |