| NPI | 1821036450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP108056) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 622010) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-11-27 |