| NPI | 1811496789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136404) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AG01180032) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-10-23 |