| NPI | 1710353487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-03179) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2024-09-19 |