| NPI | 1518396803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP124442) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 661964) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2019-05-28 |