| NPI | 1205019114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113959) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 678218) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 678218) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 678218) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2020-10-27 |