| NPI | 1760594980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP108262) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 554191) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-11-30 |