| NPI | 1831428614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 610254) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 610254) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2021-04-14 |