| NPI | 1023397072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP133294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 624903) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2017-07-25 |