| NPI | 1336321876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP116384) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 654177) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2022-04-28 |