| NPI | 1952773442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 521564) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2017-09-21 |