| NPI | 1356383301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP113254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 604075) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-11-22 |