| NPI | 1134423734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 706492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 706492) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 706492) | |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2015-02-24 |