| NPI | 1790707255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP115010) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 679723) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-07-11 |