| NPI | 1184639858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP108770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 565794) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-06-27 |