| NPI | 1144239005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 690944) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP113933) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-01-11 |