| NPI | 1366628273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 760675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 14093) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2016-08-19 |