| NPI | 1205012390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP118594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 779623) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000008306) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2019-08-28 |