| NPI | 1538102181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN7942) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP116310) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-03-29 |