| NPI | 1730100686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP107355) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 540281) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2022-01-26 |