| NPI | 1154864742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132579) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 616441) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-07-05 |