| NPI | 1356960439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145822) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 885825) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2021-04-03 |