| NPI | 1689958704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP120726) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102586) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2017-09-12 |