| NPI | 1558659607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP131557) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 75410) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-10-12 |