| NPI | 1619053980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134415) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F381089) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2022-11-15 |