| NPI | 1891950721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP108546) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 548310) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2017-11-28 |