| NPI | 1134202864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1092985) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY f304250) |
| 363L00000X Nurse Practitioner (Licence: TX 1092985) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-07-09 |