| NPI | 1538368535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3076-033) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2020-05-19 |