| NPI | 1164793246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP121311) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 676199) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2023-03-07 |