| NPI | 1851665806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP141310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 815634) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2020-05-18 |