| NPI | 1437552924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 796315) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-06-04 |