| NPI | 1518325133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 851581) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2020-09-21 |