| NPI | 1477927390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP132419) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9251267) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2019-04-15 |