| NPI | 1972790871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP116329) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 706554) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2019-03-19 |