| NPI | 1073737151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP106726) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 614529) |
| 363L00000X Nurse Practitioner (Licence: TX 614529) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-04-06 |