| NPI | 1083676472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 600805) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 600805) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2021-01-07 |