| NPI | 1205079464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 811965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN567319) |
| 163W00000X Registered Nurse (Licence: TX 811965) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009505) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2022-02-21 |