| NPI | 1487974432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP115209) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 539702) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2022-08-08 |