| NPI | 1174709240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP113927) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 582886) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2022-03-11 |