| NPI | 1508377888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143211) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP-03123) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-11-08 |