| NPI | 1134109366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP114274) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX AP114274) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-01-28 |