| NPI | 1740580935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 661454) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP119551) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2024-06-07 |