| NPI | 1811241292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122656) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 679662) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-02-17 |