| NPI | 1144277500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 681260) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 681260) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2021-09-22 |