| NPI | 1013900703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 629663) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: TX F0804222) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2024-07-23 |