| NPI | 1528309739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122809) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 710258) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2016-04-19 |