| NPI | 1912128786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03354) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP103778) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-10-06 |