| NPI | 1598106361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 758574) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-11-30 |