| NPI | 1598190498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP123426) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP123426/RN 741941) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-06-11 |