| NPI | 1972810257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP119126) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 727557) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2021-08-03 |