| NPI | 1154544898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP110463) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 637453) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-06-08 |