| NPI | 1154692176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134746) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00718) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP134746) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2023-01-09 |