| NPI | 1073953766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP123745) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 745136) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-04-30 |