| NPI | 1184677221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 705092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN149434) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-03-21 |