| NPI | 1821226416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP117708) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 572004) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2022-07-21 |