| NPI | 1619337227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138709) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 698602) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-09-04 |