| NPI | 1104213750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 608438) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125717) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP125717) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2016-10-26 |