| NPI | 1659317329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP111583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 683825) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-09-25 |