| NPI | 1548454192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP115982) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 683971) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2023-09-20 |