| NPI | 1922378686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP120709) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 724933) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2021-08-06 |