| NPI | 1073853032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 630993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 630993) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP123251) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2022-04-19 |