| NPI | 1447319835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP113158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 619669) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-02-07 |