| NPI | 1184866790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1091847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 768672) |
| 163W00000X Registered Nurse (Licence: CA 7073000552) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2024-06-03 |