| NPI | 1114984663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX AP117498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117498) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 76248) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 110705) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-03-06 |