| NPI | 1013110311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP106323) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP106323) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-08-19 |