| NPI | 1366726275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126612) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9279780) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2015-08-25 |