| NPI | 1447358569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP113410) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 625263) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-02-29 |