| NPI | 1447424650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133717) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003614) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2019-03-11 |