| NPI | 1487080438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8546547-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 8546547-4405) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2019-02-14 |