| NPI | 1881734887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP113208) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 660439) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-02-07 |