| NPI | 1740440114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP116841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 712352) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-12-02 |