| NPI | 1720102494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP114321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 652110) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-12-30 |